Family Gastro, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

245326 Issued in NY

Legal business name

FAMILY GASTRO, P.C.

Practice address

9711 3Rd Ave
BSMT Level
Brooklyn, NY 11209-7702

Phone

(718) 833-4742

Fax

(718) 836-4629

NPI assigned

Mar 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wael Eldarawy, M.D.

Title

Owner

Phone

(516) 849-7515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Abouel-Ela, M.D.

  • Internal Medicine Physician
  • Rosedale, NY
  • NPI 1295803674
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1306169263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532307",
            "telephone_number": "718-833-4742",
            "fax_number": "718-836-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 3RD AVE",
            "address_2": "BSMT LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097702",
            "telephone_number": "718-833-4742",
            "fax_number": "718-836-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY GASTRO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "ELDARAWY",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-849-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "245326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03124774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dentistry PTRS Dominick M Congiusta Et Al PTR
• Family Eye Care Center, Inc
• Family Eye Care Ophthalmology, PC
• Family Eye Care Optometry PC
• Family First Pharmacy Surgical Supplies Inc
• Family Guiding Inc.
• Family Health Drugs Inc
• Family Health NP Care on 59 PLLC
• Family Health NP Services, PC
• Family Health Pharmacy LLC

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.